中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2015年
2期
118-120
,共3页
视网膜脱离,孔源性%巩膜扣带术,改良%玻璃体腔注气
視網膜脫離,孔源性%鞏膜釦帶術,改良%玻璃體腔註氣
시망막탈리,공원성%공막구대술,개량%파리체강주기
Retinal detachment,rhegmatogenous%Scleral buckling,modified%Gas injection,intravitreal
目的 探讨改良式巩膜扣带术联合玻璃体腔注气治疗孔源性视网膜脱离的效果及并发症.方法 回顾性病例分析.收集自2013年1月至2014年5月在我院住院治疗的孔源性视网膜脱离17例(17眼),行改良式巩膜扣带术联合玻璃体腔注气术,随访6～12个月,平均(8.85 ±1.87)月.观察术后视网膜复位情况、视力、眼压及并发症情况.结果 一次手术视网膜复位16例,占94.12％.术后视力:视力改善者14例,占82.35％.术后并发症:高眼压5例,占29.41％,用降眼压药物控制后均眼压正常.新裂孔形成1例,占5.88％.玻璃体浑浊8例,占47.06％.结论 改良式巩膜扣带术联合玻璃体腔注气是治疗孔源性视网膜脱离的一种安全、有效的方法.
目的 探討改良式鞏膜釦帶術聯閤玻璃體腔註氣治療孔源性視網膜脫離的效果及併髮癥.方法 迴顧性病例分析.收集自2013年1月至2014年5月在我院住院治療的孔源性視網膜脫離17例(17眼),行改良式鞏膜釦帶術聯閤玻璃體腔註氣術,隨訪6～12箇月,平均(8.85 ±1.87)月.觀察術後視網膜複位情況、視力、眼壓及併髮癥情況.結果 一次手術視網膜複位16例,佔94.12％.術後視力:視力改善者14例,佔82.35％.術後併髮癥:高眼壓5例,佔29.41％,用降眼壓藥物控製後均眼壓正常.新裂孔形成1例,佔5.88％.玻璃體渾濁8例,佔47.06％.結論 改良式鞏膜釦帶術聯閤玻璃體腔註氣是治療孔源性視網膜脫離的一種安全、有效的方法.
목적 탐토개량식공막구대술연합파리체강주기치료공원성시망막탈리적효과급병발증.방법 회고성병례분석.수집자2013년1월지2014년5월재아원주원치료적공원성시망막탈리17례(17안),행개량식공막구대술연합파리체강주기술,수방6～12개월,평균(8.85 ±1.87)월.관찰술후시망막복위정황、시력、안압급병발증정황.결과 일차수술시망막복위16례,점94.12％.술후시력:시력개선자14례,점82.35％.술후병발증:고안압5례,점29.41％,용강안압약물공제후균안압정상.신렬공형성1례,점5.88％.파리체혼탁8례,점47.06％.결론 개량식공막구대술연합파리체강주기시치료공원성시망막탈리적일충안전、유효적방법.
Objective To analyze the effect and complications of modified scleral buckling combined with intravitreal gas injection for rhegmatogenous retinal detachment.Methods A retrospective case study.Clinical data of 17 eyes of 17 patients treated with modified scleral buckling combined with intravitreal gas injection from January 2013 to May 2014 in Hebei Provincial Eye Hospital were recruited.The mean follow-up time was (8.85 ± 1.87) months with range from 6 to 12 months.The retinal reattachment rate,best corrected visual acuity (BCVA),intraocular pressure (IOP) and complications were analyzed.Results The retina was reattached in 16 patients and the reattachment rate was 94.12％.The postoperative BCVA was improved in 14 cases,which accounted for 82.35％.The postoperative complications included high intraocular pressure in 5 eyes of 5 patients (29.41％),new retinal hole in 1 eye of 1 patient (5.88％),and vitreous opacity in 8 eyes of 8 patients (47.06％).Conclusion Modified scleral buckling combined with intravitreal gas injection is effective and safe for rhegmatogenous retinal detanchment.
